Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$233.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$715.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$62.44 with KARNA vs $1,402.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $62.44 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $100.82 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $128.70 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $155.16 | ↓ -33% |
| WELLCARE | MANAGED MEDICAID | $233.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $233.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $233.20 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $233.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $244.86 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $254.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $279.85 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $421.14 | ↑ +81% |
| HORIZON | OMNIA | $456.03 | ↑ +96% |
| HORIZON | WORKERS COMP | $503.36 | ↑ +116% |
| HORIZON | MANAGED MEDICAID | $507.65 | ↑ +118% |
| BERGEN RISK | ALL PRODUCTS | $536.25 | ↑ +130% |
| HORIZON | SHP | $550.19 | ↑ +136% |
| QUALCARE | PPO | $555.56 | ↑ +138% |
| QUALCARE | HMO | $555.56 | ↑ +138% |
| AETNA | ASA | $559.85 | ↑ +140% |
| HORIZON | HMO | $564.06 | ↑ +142% |
| HORIZON | PIP | $564.14 | ↑ +142% |
| CIGNA | BH | $572.00 | ↑ +145% |
| HORIZON | INDEMNITY | $572.21 | ↑ +145% |
| HORIZON | PPO | $577.22 | ↑ +148% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $607.75 | ↑ +161% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $607.75 | ↑ +161% |
| AMERIHEALTH | LOCAL HMO | $618.33 | ↑ +165% |
| QUALCARE | WORKERS COMP | $629.20 | ↑ +170% |
| AETNA | HMO | $643.50 | ↑ +176% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $643.50 | ↑ +176% |
| AETNA | PPO | $643.50 | ↑ +176% |
| CIGNA | PPO | $683.75 | ↑ +193% |
| CIGNA | HMO | $683.75 | ↑ +193% |
| AMERIHEALTH | REGIONAL HMO | $700.34 | ↑ +200% |
| OXFORD | ALL PRODUCTS | $1,013.00 | ↑ +334% |
| UNITED HEALTHCARE | HMO | $1,402.00 | ↑ +501% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $233.20 | $233.20 – $875.00 |
| Hackensack University Medical Center | Hackensack | $248.12 | $65.68 – $1,323.00 |
| Ocean University Medical Center | Brick | $230.26 | $62.44 – $613.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $233.41 | $25.30 – $693.00 |
| Jersey Shore University Medical Center | Neptune City | $233.20 | $25.30 – $985.00 |
| Palisades Medical Center | North Bergen | $248.12 | $62.55 – $320.00 |
| Raritan Bay Medical Center | Perth Amboy | $233.41 | $65.68 – $599.00 |
| Southern Ocean Medical Center | Manahawkin | $230.26 | $25.30 – $1,421.00 |